WorkSafe can pay the reasonable costs of private hospital services required as a result of a work-related An injury/disease is work related if it arose out of or in the course of employment and the scope of employment. injury or illness.
Written approval is required from the Agent before the provision of the service.
Note: Prior approval is not required for requests relating to emergency psychiatric inpatient treatment. If a hospital seeks prior approval, this must not be delayed.
A private hospital is a private hospital:
- within the meaning of the Health Services Act 1988 or s178 of the Health Act 1958
- within the meaning of a law of another State or of a Territory or
- outside Australia if approved by WorkSafe.
WorkSafe can pay for the reasonable costs of a medical and like expense where a worker is entitled to provisional payments on a claimed mental injury.
See: 6.5 Provisional payments for a mental injury
This section of the Claims Manual must be read in conjunction with the following policies:
- Private Hospitals
- Implantable Pain Therapy
- Medical Practitioner
- Elective Surgery
- Surgically Implanted Prostheses